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Workbook for Egan's Fundamentals of Respiratory Care - E-Book

Workbook for Egan's Fundamentals of Respiratory Care - E-Book

Robert M. Kacmarek | Stephen F. Wehrman

(2013)

Additional Information

Book Details

Abstract

What do I need to know? Why do I need to know it? And how will I use it? Focusing on the most important concepts in the Egan's 10th Edition text, this workbook helps you answer these questions and develop a deeper understanding of respiratory care through real-life examples, key points, and a wide range of activities.

  • Chapter-specific exercises offer various activities, such as exercises on ethics, equipment, and mathematics.
  • Word Wizard tests your knowledge of key terms.
  • Meet the Objectives gives you a way to assess your learning.
  • Key Points identify key concepts from the chapter.
  • Case studies help you practice critical thinking.
  • Food for Thought offers thought-provoking tips and questions.
  • Information Age highlights all the resources available to you on the web.
  • A Picture is Worth (including Pneumo-nuggets) features a mixture of labeling exercises and "nuggets" of information in the form of tips or questions.
  • Updated content reflects the changes in the 10th edition of the text.
  • 20% more NBRC-style questions help you pass the NBRC examination.
  • More critical-thinking/essay questions allow you to apply your learning.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Workbook for Egan’s Fundamentals of Respiratory Care i
Copyright ii
Dedication iii
Preface v
Contents vii
Section I: Foundations of Respiratory Care 1
Chapter 1: History of Respiratory Care 1
Word Wizard 1
Meet the Objectives 2
Summary Checklist 3
Food for Thought 3
Chapter 2: Quality and Evidence-Based Respiratory Care 5
Word Wizard 5
Meet the Objectives 5
Summary Checklist 6
Case Studies 7
What Does the NBRC Say? 8
Food for Thought 8
Chapter 3: Patient Safety, Communication, and Recordkeeping 9
Word Wizard 9
You’ll Get a Charge out of This 9
Burn, Baby, Burn 9
Keep it Moving! 9
I Can’t Hear You 10
Meet The Objectives 10
Summary Checklist 11
Case Studies 12
What Does the NBRC Say? 13
Food for Thought 14
Chapter 4: Principles of Infection Prevention and Control 15
Word Wizard 15
Meet the Objectives 15
Summary Checklist 17
Case Studies 18
What Does the NBRC Say? 20
Food for Thought 20
Chapter 5: Ethical and Legal Implications of Practice 23
Word Wizard 23
Meet the Objectives 24
Case Studies 24
What About Ethics? 26
Case Studies 27
Summary Checklist 29
Food for Thought 29
Chapter 6: Physical Principles of Respiratory Care 31
Word Wizard 31
Meet the Objectives 32
Obey the Laws 33
Try It, You’ll Like It! 33
Case Studies 35
Mathematics 36
Summary Checklist 38
What Does the NBRC Say? 38
Food for Thought 38
Chapter 7: Computer Applications in Respiratory Care 39
Word Wizard 39
Computerese 39
Talk to Me! 39
Computers In Health Care 39
Garbage In, Garbage Out 40
Case Studies 41
Practice makes Perfect! 42
Activity 1: Information Search 42
Activity 2: Evaluate! 43
Activity 3: Respiratory Care! 43
Food for Thought 43
A Final Thought 44
Section II: Applied Anatomy and Physiology 45
Chapter 8: The Respiratory System 45
Word Wizard 45
Just Like Dear Old Dad 45
Fetal Facts 46
They Aren’t Just Little Adults . . . 47
A Picture is Worth a Thousand . . . 48
Pneumopnuggets 48
Pneumopnuggets 49
Lobes and Segments 52
Meet the Objectives 53
Summary Checklist 53
Case Studies 54
What Does the NBRC Say? 55
Food for Thought 55
Chapter 9: The Cardiovascular System 57
Word Wizard 57
Meet the Objectives 57
Summary Checklist 58
Case Studies 59
What Does the NBRC Say? 60
Food for Thought 60
Chapter 10: Ventilation 61
Word Wizard 61
Picture this 61
Work of Breathing 62
Compliance 63
Resistance 64
Active Exhalation 65
Ventilatory Pattern 65
Dead Space 66
Mathematics 67
What Does the NBRC Say? 68
Chapter 11: Gas Exchange and Transport 69
Word Wizard 69
All Aboard 69
Why Be Normal? 69
Oxygen Transport 69
Why? 70
Mathematics 70
Barriers to Diffusion 71
Let’s get Moving! 71
Mathematics 71
The Moral of the Story 72
Throw me a Curve 72
Fick It 73
Carbon Dioxide Transport 73
Bad Gas Exchange 73
What Does the NBRC Say? 74
Case Studies 74
Summary Checklist 76
Food for Thought 77
Dysoxia 77
Food For Thought Part Deux 77
Chapter 12: Solutions, Body Fluids, and Electrolytes 79
Word Wizard 79
Water, Water Everywhere 80
Where has all the Water Gone? 80
Acid-Base Basics 81
Electrifying Information 82
Case Studies 83
Mathematics 84
What Does the NBRC Say? 85
Food for Thought 86
Chapter 13: Acid-Base Balance 87
Word Wizard 87
Where has all the Acid Gone? 88
Balancing Act 89
A Method to the Madness 90
Try it, you'll like it! 90
Welcome To The Gap! 91
Mathematics 91
Case Studies 93
What Does the NBRC Say? 94
Exercise Your Mental Muscles 95
Food for Thought 96
Chapter 14: Regulation of Breathing 97
Word Wizard 97
Where’s the Action? 97
Automatic Pilot 98
Better Living Through Chemistry 99
Central Chemoreceptors 99
Peripheral Chemoreceptors 99
No One Understands Me! 100
Ouch! 100
Case Studies 101
What Does the NBRC Say? 102
Experiment 103
Summary Checklist 104
Food for Thought 104
A Little More Food for Thought 104
Section III: Assessment of Respiratory Disorders 105
Chapter 15: Bedside Assessment of the Patient 105
Word Wizard 105
Start At The Beginning 106
Are You Asking The Questions Correctly? 106
Signs and Symptoms of Cardiopulmonary Disease 107
Medical History 109
Level Of Consciousness 110
Vital Information 110
Examining The Chest And Lungs 112
Extremity Exam 116
Case Studies 117
What Does the NBRC Say? 119
Chapter 16: Interpreting Clinical Laboratory Data 121
Word Wizard 121
Lab Tests 121
White 121
Red 122
Electrolytes 122
Enzymes 123
Clotting Is Cool 124
Sputum Is Our Bread And Butter 125
Case Studies 125
What Does the NBRC Say? 126
Food for Thought 126
Chapter 17: Interpreting the Electrocardiogram 127
A Picture is Worth . . . 127
Making Measurements 129
Start At The Beginning 129
Step 1: Evaluate the Rate 129
Step 2: Measure the P–R Interval 130
Step 3: Evaluate the QRS Complex 130
Step 4: Evaluate the T Wave 131
Step 5: Evaluate the ST Segment 131
Step 6: Identify the RR Interval 132
Recognizing Arrhythmias 132
Normal Sinus Rhythm 132
Sinus Bradycardia 132
Sinus Tachycardia 133
First-Degree Heart Block 133
Second-Degree Heart Block 133
Third-Degree Block 134
Atrial Dysrhythmias 134
Premature Ventricular Contractions 135
Ventricular Tachycardia 135
Ventricular Fibrillation 136
Case Studies 136
What Does the NBRC Say? 137
Food for Thought 139
Chapter 18: Analysis and Monitoring of Gas Exchange 141
Word Wizard 141
First Things First 141
Meet The Objectives 142
Summary Checklist 146
Case Studies 147
What Does the NBRC Say? 150
Food for Thought 152
Chapter 19: Pulmonary Function Testing 153
Word Wizard 153
First Things First 154
Meet The Objectives 155
Lung Volumes 155
Spirometry 155
Diffusion 156
Interpretation Fundamentals 157
Case Studies 157
What Does the NBRC Say? 160
Food for Thought 162
Chapter 20: Review of Thoracic Imaging 163
Word Wizard 163
Overview 163
Step-by-Step 164
Advanced Chest Imaging 165
Identifying Abnormalities 166
Evaluation of the Pleura 166
Evaluation of Lung Parenchyma 167
Let’s Get Wet! 168
Lost Volume 168
Catheters, Lines, and Tubes 169
The Mediastinum 169
Case Studies 170
What Does the NBRC Say? 170
Food for Thought 172
Chapter 21: Nutrition Assessment 173
Word Wizard 173
Meet the Objectives 173
Age-Related Nutrition 175
Macronutrients 176
Indirect Calorimetry 177
Respiratory Consequences 179
Enteral, Parenteral 179
Summary Checklist 180
Case Studies 180
What Does the NBRC Say? 181
Food for Thought 181
Section IV: Review of Cardiopulmonary Disease 183
Chapter 22: Pulmonary Infections 183
Word Wizard 183
Classification and Pathogenesis 184
Microbiology 185
Clinical Manifestations 186
Risk Factors 187
Diagnostic Studies 188
Therapy 190
Prevention 190
Case Studies 191
What Does the NBRC Say? 192
Food for Thought 193
Chapter 23: Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease (COPD), Asthma, and Related Diseases 195
Word Wizard 195
Chronic Obstructive Pulmonary Disease 195
Overview 195
Risk Factors and Pathophysiology 197
Clinical Signs 197
Management 198
Asthma 201
Overview 201
Etiology and Pathogenesis 201
Clinical Signs 202
Management 203
For a Good Time, Meet Me in the Emergency Department 205
Bronchiectasis 207
Case Studies 208
What Does the NBRC Say? 210
Food for Thought 212
Chapter 24: Interstitial Lung Disease 213
Word Wizard 213
Clinical Signs and Symptoms of ILD 213
Specific Types of ILD 214
Case Studies 217
What Does the NBRC Say? 218
Food for Thought 218
Chapter 25: Pleural Diseases 219
Word Wizard 219
The Pleural Space 220
Pleural Effusions 220
Pneumothorax 222
Case Studies 224
What Does the NBRC Say? 225
Food for Thought 227
Chapter 26: Pulmonary Vascular Disease 229
Word Wizard 229
Meet the Objectives 229
Finding Pe 232
Assess And Test 232
Pulmonary Vascular Disease 234
Summary Checklist 235
Case Studies 236
What Does the NBRC Say? 236
Food for Thought 237
Chapter 27: Acute Lung Injury, Pulmonary Edema, and Multiple System Organ Failure 239
Word Wizard 239
Meet the Objectives 240
General Considerations 240
Ventilator Strategies 242
Innovative Strategies 243
Pharmacologic Treatments 245
Summary Checklist 245
Case Studies 246
What Does the NBRC Say? 247
Food for Thought 248
Chapter 28: Lung Cancer 249
Word Wizard 249
Meet the Objectives 249
Clinical Features 250
Diagnosis 252
Treatment 253
Role of the Respiratory Therapist 254
Summary Checklist 255
Case Studies 255
What Does the NBRC Say? 256
Food for Thought 256
Chapter 29: Neuromuscular and Other Diseases of the Chest Wall 257
Word Wizard 257
Meet the Objectives 257
General Principles 257
Specific Neuromuscular Diseases 259
Disorders of the Thoracic Cage 261
Summary Checklist 262
Case Studies 263
What Does the NBRC Say? 264
Food for Thought 265
Chapter 30: Disorders of Sleep 267
Word Wizard 267
Meet the Objectives 267
Summary Checklist 271
What Does the NBRC Say? 271
Food for Thought 272
Chapter 31: Neonatal and Pediatric Respiratory Disorders 273
Word Wizard 273
Baby Blues 273
Neonatal Resuscitation 278
Pediatric Problems 278
Case Studies 280
What Does the NBRC Say? 282
Food for Thought 283
Section V: Basic Therapeutics 285
Chapter 32: Airway Pharmacology 285
Word Wizard 285
Meet the Objectives 286
Just Say Yes 286
Adrenergic Bronchodilators 287
Anticholinergic Bronchodilators 289
Mucus Controlling Agents 290
Inhaled Glucocorticoids 291
Nonsteroidal Antiasthma Drugs 292
Treating Infection by the Aerosol Route 292
Influenza 293
A Fungus Among Us 294
Inhaled Vasodilators 294
Case Studies 295
What Does the NBRC Say? 296
Food for Thought 298
Chapter 33: Airway Management 299
Meet the Objectives 299
“The Halls are Alive With the Sound of Mucus . . . ” 299
Endotracheal Suctioning 300
Section VI: Acute and Critical Care 403
Chapter 41: Respiratory Failure and the Need for Ventilatory Support 403
Word Wizard 403
So, what could go wrong? 403
Let's Review 404
Tell Me More 404
Acute-On-Chronic Respiratory Failure 405
Tube ’EM 406
Assessment of Fatigue 407
Strategies 407
Lung Invasion 409
Special Cases 409
Summary Checklist 410
Case Studies 411
What does the NBRC Say? 412
Food For Thought 414
Chapter 42: Mechanical Ventilators 415
Word Wizard 415
How Ventilators Work 415
I’m in Control 416
Phase 417
Mode 418
Waveforms 419
The Operator Interface 420
Types of Ventilators 420
Case Studies 422
What does the NBRC Say? 423
Food For Thought 424
Chapter 43: Physiology of Ventilatory Support 425
Word Wizard 425
Life Under Pressure 425
Effects of Mechanical Ventilation 426
What About Oxygenation? 427
Lung Mechanics 428
Work of Breathing 430
Physiologic Effects of Ventilatory Modes 430
Down with the Good Lung! 432
Not Just the Lungs 432
Ventilator-Induced Lung Injury 433
Summary Checklist 434
Case Studies 435
What does the NBRC Say? 436
Food For Thought 436
Chapter 44: Initiating and Adjusting Invasive Ventilatory Support 437
First Things First 437
Case Studies 437
What does the NBRC Say? 445
Food For Thought 447
Chapter 45: Noninvasive Ventilation 449
Word Wizard 449
Goals and Indications 449
Niv And Chronic Care 451
Selection And Exclusion Criteria 452
Tools of the Trade 453
Masks (Interfaces) 453
Ventilators 454
Start Me Up 455
What Could Go Wrong? 456
What does the NBRC Say? 456
Chapter 46: Monitoring the Patient in the Intensive Care Unit 459
Word Wizard 459
Respiratory Monitoring 459
Monitoring Ventilation 460
Monitoring Chest Wall Mechanics 461
Compliance 462
Resistance 462
Peak and Plateau Pressures 462
Auto-PEEP 462
Work of Breathing 463
Monitoring Muscle Strength 463
Monitoring The Patient–Ventilator System 464
Mathematics 465
Shunt 466
Fick 466
Minute Ventilation 466
Bohr 467
Compliance 467
Resistance 468
Assessment of Hemodynamics 468
Arterial lines 468
Equipment 469
Pulmonary Artery Pressure Monitoring 470
Pneumopnugget 471
What Does it All Mean? 471
Neurologic Monitoring 473
Troubleshooting The Patient–Ventilator System 474
What does the NBRC Say? 475
Food For Thought 477
Chapter 47: Discontinuing Ventilatory Support 479
Word Wizard 479
First Things First 479
Reasons for Ventilator Dependence 480
Patient Evaluation 482
Preparing the Patient 485
Weaning Methods 485
Spontaneous Breathing Trials 487
Monitoring The Patient 489
Extubation 489
Failure To Wean 490
Case Studies 492
What does the NBRC Say? 495
Food For Thought 496
Chapter 48: Neonatal and Pediatric Respiratory Care 497
Word Wizard 497
Fetal Assessment 497
Newborn Assessment 499
Silverman: Assessing The Newborn 500
Respiratory Care Techniques 502
Oxygen Therapy 502
Bronchial Hygiene 502
Humidity and Aerosol Therapy 503
Say “Yes” To Aerosol Drug Therapy 504
Airway Management 505
Advanced Fun And Games 506
High-Flow Nasal Cannula 507
Mechanical Ventilation 507
High Frequency Ventil 508
Just Say No 509
Extracorporeal Membrane Oxygenation 509
Hours of Boredom, Moments of Terror 509
What does the NBRC Say? 510
Food For Thought 511
Section VII: Patient Education and Long-Term Care 513
Chapter 49: Patient Education and Health Promotion 513
Word Wizard 513
Patient Education 513
What’s in a Domain? 514
Teaching Children 515
Evaluation 515
Health Education 516
An Ounce of Prevention is Worth . . . 516
Case Studies 517
What Does the NBRC Say? 519
Food for Thought 519
Chapter 50: Cardiopulmonary Rehabilitation 521
Word Wizard 521
Definitions and Goals 521
Scientific Basis For Pulmonary Rehabilitation 522
Pulmonary Rehabilitation Programs 523
Case Studies 527
What does the NBRC say? 527
Food for Thought 528
Chapter 51: Respiratory Care in Alternative Settings 529
Word Wizard 529
Recent Trends 529
Definitions and Goals 530
Standards 531
Traditional Acute Care 531
Discharge Planning 532
Oxygen Therapy 532
Ventilatory Support 535
Other Modes of Postacute Respiratory Care 537
Patient Assessment and Documentation 538
Equipment Disinfection and Maintenance 538
Palliative Care 539
Case Studies 539
What does the NBRC say? 540
Food for Thought 541